The evaluation and management of recurrent abdominal pain in childhood

Recurrent abdominal pain is a common symptom in children. It presents a diagnostic and management challenge. Underlying organic disease is rare but important to correctly identify. Most children with recurrent abdominal pain have a functional gastro-intestinal disorder. There are several recognized patterns of functional gastro-intestinal disorder affecting children. A combination of biological, psychological and social factors contribute to the aetiology of pain. Management is centred on identifying and modifying factors that may be contributing to the symptoms. The prognosis for functional gastro-intestinal disorder is generally good, though there is an increased chance of somatising and psychiatric disorders developing later in life.